Delaware s Health Insurance Marketplace: Update on Activity

Delaware's Health Insurance Marketplace: Update on Activity

Delaware Health Care Commission January 7, 2016 Secretary Rita Landgraf Department of Health and Social Services

Agenda

? National Updates: Enrollment Updates Guidance for Filing 2015 Taxes Analysis of Average Household Penalty U.S. Health Care Spending in 2014

? Delaware Updates: Outreach and Communications In-person Assistance Stories From the Ground Key Dates and Reminders

? Questions/Comments

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National Updates

Enrollment Update

? CMS releases weekly cumulative `snapshots' of enrollments in the 38 states that use .

? Through Jan. 2 -- 26,528 Delawareans had signed up for coverage or had their coverage automatically renewed.

? Nationally, more than 8.6 million individuals in these states had signed up or been automatically re-enrolled.

? The snapshots do not specify the number of consumers who paid their premiums to activate their coverage effective either Jan. 1 or Feb. 1.

See the full report at: Fact-sheets/2016-Fact-sheets-items/2016-01-06.html.

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Financial Assistance Among Active Enrollments

21,470 Delawareans had paid their premiums and had an active policy in September 2015, according to a recent HHS report that looked at financial assistance among those with active enrollments.

Percentage of Financial Assistance Among Active Enrollments, September 2015

90

84%

84%

80

70

60

50

40

30

20

10

0 % Receiving APTC

57% 44%

% Receiving CSR

National Delaware

See the full report at: -sheets/2015-Fact-sheets-items/2015-12-22-2.html

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No Enrollment Grace Period in 2016

? The U.S. Department of Health and Human Services announced it will not offer a grace period for uninsured people to sign up for coverage leading up to the April 15 tax filing deadline, as it did for those signing up for 2015 coverage.

? Consumers have until Jan. 31 to sign up for insurance in 2016 or face a penalty.

? Those who are not exempt and who do not buy insurance in 2016 will face penalties of $695 per adult (plus $347.50 for each child not covered) or 2.5 percent of their household income, whichever is higher, when they pay their 2016 taxes in early 2017.

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New Consumer Tools on

? New features piloted earlier this enrollment season are now available to all visitors.

Out of Pocket Cost Calculator lets you estimate premiums, deductibles, and co-pays for each plan based on anticipated use of health care services.

Doctor and Facility

Lookup and Prescription

Drug Lookup lets you

search information on a

plan's network of doctors

and the prescription drugs

it covers.

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Guidance for Filing 2015 Taxes

? Individuals who enrolled for coverage through the Marketplace in 2015 should receive Form 1095-A by February 1. The Marketplace sends this form, which includes information about the tax filer's health coverage.

? Individuals should wait to file their returns until they receive Form 1095-A. Use Form 1095-A to complete IRS Form 8962 and reconcile advance payments of the premium tax credit or claim the credit on your tax return.

? Insurers have until March 31 to send a similar form, 1095-B, to their customers. This form might help you prepare your return, but it is not required; you may file without it.

? More information:

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